Form Hics 207-Hospital Incident Management Team (Himt) Chart Page 2

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HICS 207 - HOSPITAL INCIDENT MANAGEMENT TEAM (HIMT) CHART
PURPOSE:
The HICS 207 – Hospital Incident Management Team (HIMT) Chart provides a visual
display of personnel assigned to the HIMT positions.
ORIGINATION:
Prepared by the Incident Commander or designee (Resources Unit Leader) at the
incident onset and continually updated throughout an incident.
COPIES TO:
Distributed to the Command and General Staff and the Documentation Unit Leader.
The HICS 207 is intended to be projected or wall mounted at the Hospital Command
Center (HCC) and is not intended to be part of the Incident Action Plan (IAP).
NOTES:
Additions may be made to the form to meet the organization’s needs. Additional
pages may be added based on need (such as to distinguish more branches or units
as they are activated). Three versions of the HIMT Chart are available in the 2014
Hospital Incident Command System (HICS) Appendix C: Adobe Acrobat fillable PDF,
Microsoft Word, and Microsoft Visio Drawing.
NUMBER
TITLE
INSTRUCTIONS
1
Incident Name
Enter the name assigned to the incident.
2
Operational Period
Enter the start date (m/d/y) and time (24-hour clock) and end
date and time for the operational period to which the form
applies.
3
Current Hospital
Enter the names of the individuals assigned to each position
Incident Management
on the Hospital Incident Management Team (HIMT) chart.
Team Chart
Modify the chart as necessary, and add any lines/spaces
needed for Command Staff assistants, agency
representatives, and the organization of each of the General
Staff sections.
 
 
 
   
HICS 2014

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